If a tip is droopy, can a tip be raised with rotation techniques and a columella strut alone (instead of adding lots of bulk & changing the shape of the tip w/tip grafts, shield grafts, ear cartilage, and so on)? Or is more grafting required to preserve breathing once a tip is rotated? #droopy tip #columnella strut #grafts #bulk
May 8, 2016
Answer: Droopy tip Thank you for your question. Droopy tip can be a very challenging problem to address. However each nose is different and needs to be evaluated in person. Or at least with photos. The short answer is that a columella strut may be sufficient, but it all depends on how droopy your nose is and how the columella strut is fashioned and placed. Rotating the tip usually improves breathing. Tip and shield grafts will not rotate the tip - they can help project the tip. Seek a surgeon you trust and who is experienced in revision rhinoplasty. Good luck!
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May 8, 2016
Answer: Droopy tip Thank you for your question. Droopy tip can be a very challenging problem to address. However each nose is different and needs to be evaluated in person. Or at least with photos. The short answer is that a columella strut may be sufficient, but it all depends on how droopy your nose is and how the columella strut is fashioned and placed. Rotating the tip usually improves breathing. Tip and shield grafts will not rotate the tip - they can help project the tip. Seek a surgeon you trust and who is experienced in revision rhinoplasty. Good luck!
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May 8, 2016
Answer: Desiring a columellar strut graft Columellar strut grafts are used to project the tip; This is the ideal graft for a droopy tip as you have described; what makes the columellar graft in revision rhinoplasty more complictated that the it needs to be firm so that it can withstand the force required to optimally project the tip; the only firm graft is in the septum and this is usually used up; the only other alternative would be the rib; fortunately, we now have cadaveric grafts donated by organ donors that can be used safely and effectively.
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May 8, 2016
Answer: Desiring a columellar strut graft Columellar strut grafts are used to project the tip; This is the ideal graft for a droopy tip as you have described; what makes the columellar graft in revision rhinoplasty more complictated that the it needs to be firm so that it can withstand the force required to optimally project the tip; the only firm graft is in the septum and this is usually used up; the only other alternative would be the rib; fortunately, we now have cadaveric grafts donated by organ donors that can be used safely and effectively.
Helpful
